腹腔镜修补术和传统修补术对上消化道穿孔患者的治疗效果及对胃肠道功能的影响分析  

Analysis of Therapeutic Efficacy and Effects on Gastrointestinal Function of Laparoscopic Peritoneal Perforation Repair and Conventional Repair in Patients with Upper Gastrointestinal Perforation

作　　者：袁有义 肖瑜 盛兆嗣 王清文 YUAN Youyi;XIAO Yu;SHENG Zhaosi;WANG Qingwen(Department of Surgery,Yushu Prefecture Qumalai County People's Hospital,Yushu Tibetan Autonomous Prefecture,Qinghai Province,815500 China;Department of Anesthesiology,Yushu Prefecture Qumalai County People's Hospital,Yushu Tibetan Autonomous Prefecture,Qinghai Province,815500 China)

机构地区：[1]青海省玉树州曲麻莱县人民医院外科,青海玉树藏族自治州815500 [2]青海省玉树州曲麻莱县人民医院麻醉科,青海玉树藏族自治州815500

出　　处：《中外医疗》2024年第4期58-61,共4页China & Foreign Medical Treatment

摘　　要：目的探讨腹腔镜修补术(Iaparoscopic Peritoneal Perforation Repair,LR)和传统开腹修补术(Open Ab⁃dominal Perforation Repair,OR)对上消化道穿孔患者的治疗效果及对胃肠道功能的影响。方法方便选取2022年6月-2023年6月青海省玉树州曲麻莱县人民医院收治的96例上消化道穿孔患者为研究对象,根据随机数表法分为两组,对照组采用OR治疗,研究组采用LR治疗。比较两组的手术指标、并发症发生率、胃肠道功能。结果两组手术时长比较,差异无统计学意义(P>0.05);研究组的手术切口、术中出血量优于对照组,差异有统计学意义(P均<0.05);研究组并发症总发生率为10.4%,低于对照组的20.8%,差异有统计学意义(χ^(2)=6.849,P<0.05);研究组恢复肠鸣音时间及首次排气时间短于对照组,差异有统计学意义(P均<0.05)。结论上消化道穿孔患者使用LR治疗可减少患者的术中出血量,降低并发症发生率,减小手术切口,提高患者胃肠道功能的康复速度。Objective To investigate the therapeutic effect and the effect on gastrointestinal function of laparoscopic peritoneal perforation repair(LR)and traditional open abdominal perforation repair(OR)on patients with upper gastrointestinal perforation.Methods 96 patients with upper digestive tract perforation admitted to Yushu Prefecture Qumalai County People's Hospital,Qinghai Province from June 2022 to June 2023 were conveniently selected as the study objects.They were divided into two groups according to random number table method.The control group received OR for treatment and the study group received LR for treaatment.The surgical indexes,complication rate and gastrointestinal function of the two groups were compared.Results There was no significant difference in operation duration between the two groups(P>0.05).The surgical incision and intraoperative blood loss in the study group were better than those in the control group,and the differences were statistically significant(both P<0.05).The total incidence of complications in the study group was 10.4%,lower than that in the control group(20.8%),and the difference was statistically significant(χ^(2)=6.849,P<0.05).The recovery time of bowel sound and the first exhaust time in the study group were shorter than those in the control group,and the differences were statistically significant(both P<0.05).Conclusion The use of LR in the treatment of upper gastrointestinal perforation can reduce the amount of intraoperative blood loss,reduce the incidence of complications,reduce the surgical incision,and improve the recovery speed of gastrointestinal function.

关 键 词：腹腔镜 开腹 修补术 上消化道穿孔 效果 胃肠功能 

分 类 号：R4[医药卫生—临床医学]